Active NPI
Altus Physician Network
- Clinic/Center
- Pearland, TX
National Provider Identifier
1700397320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ALTUS PHYSICIAN NETWORK
- Practice address
- 11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367 - Phone
- (281) 837-7600
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Horn, MD
- Title
- President
- Phone
- (281) 837-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367
Mailing address
11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662771 | Other | TEXAS MEDICAL BOARD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1700397320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11233 SHADOW CREEK PKWY STE 313",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11233 SHADOW CREEK PKWY STE 313",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847367",
"telephone_number": "281-837-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTUS PHYSICIAN NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "HORN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-837-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "662771",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.